This document discusses Median Arcuate Ligament Syndrome and provides details of a 61-year-old man presenting with epigastric pain and vomiting. It notes that the median arcuate ligament can insert low and compress the celiac artery in some people. For young patients presenting with similar symptoms, CT scans often show focal narrowing of the proximal celiac axis with poststenotic dilatation and collaterals visible on inspiration and expiration. Surgery is typically the treatment. It also briefly discusses Prostaglandin-induced hyperostosis, Caffey disease, and differentials for cortical hyperostosis in infants.